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0025 WACHUSETT AVENUE - Health
25 Wachusett Ave d... . . Hyannis A=.276 - 018 fil 8 r i� a TOWN OF BARNSTABLE 1� LO ATION), S" GU A C H L! SeTr AV, SEWAGE_#130 VILLAGE H A/1/�t/>S• d�a k •` ' ASSESSOR'S MAP &'LOTS 7 - \61'_,. °r. INSTALLER'S NAME&PHONE NO, J� 10 A C 0 M. 6f 0 Al ° SEPTIC TANK CAPACITY :./ a ' LEACHING FACILITY: (type) `Y �'�� '� (size) NO.OF BEDROOMS BUILDER OR OWNER Ak� IA `+PERMITDATE: ' COMPLIANCE DATE:_ "��_ Separation.Distance-Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet``' Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) _Feet - t . Furnished by O` r J7 CHUB err (' No.. :�o 6�� / Fee �O V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Migozal *pgtem Construction Permit Application for a Permit to Construct O Repair V Upgrade O Abandon O ❑ Complete System ❑Individual Components Location Address or Lot No. S� W S_ r �'Yl.c,.. Owner's Name Address and Tel.No. J to 4 cu v 9 ; , r o i t Assessor's Map/parcel i _ �3'6 D b , .9, Installer's Name,Address,and Te g Designer's Name, am e,,�Address aqd Tel.No. 0 o. 0 0,* `Jc�Uil'1 1*M-1 C�J`�l� J `i�0 31k ibZo ssyU >?j, � A y 3q 1�Lii.3�M��T Type of Building: +I Dwelling No.of Bedrooms ( Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Q 4 J gpd Design flow provided gpd Plan Date f 0 S Number of sheets Revision Date Title - Size of Septic Tank 1 4 G. C Type of S.A.S. (0 Do 7�)r11 UJ 21�s Description of Soil Nature of Repairs or Alterations(Answer when applicable) C)rti& CA,��2010 1S U_AE&q 160o +(Xftk - U,� x (A YA A 6 n 5 2 0 T.i ` f-u w RO Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this oardWHeaT),igned Date Application Approved Date Application Disapproved by: Date for the following reasons Permit No. O ."0_) Date Issued —� (D No. 6—0 /�''7� Fee /D V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes %? application for dig onl * .5tem Construction permit Application for a Permit to Construct( ) Repair(x) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No Owner's Name,Address,and Tel.No. �(GU't!'Z�`���` -�, Y��.G., m icktSl.�el w:�r►5tii,P Assessor's Map/Parcel, E / /f Installer's Name,Address,and Tel. Designer's Name,Address and Tel.No, Y)IclwihY ��6t1 `JoIA�YI eA1_l<jU1A" 0x3cx (DG C. Qyvt ) (Mol. Type of Building: ` .. Dwelling No.of Bedrooms Ll Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) V4 0 gpd Design flow provided �a o gpd Plan Date r) r 9 S Number of sheets Revision Date Title Size of Septic Tank G�CD© Type of S.A.S. (D Op I cis Q,1�S Description of Soil Nature of Repairs or Alterations(Answer when applicable) ©yy !` GQ !SCDDOO L.✓S (s,� Soo TAJlk 't7_-3 v x n 0-A —S 9 Q c, l `7. , U W 21 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board ofHealth. d J Date 3 igne Application Approved y... Date 316 �o .Application Disapproved by: Date .for the following,reasons Permit No. lD �� Date Issued -3 c`3 lD -------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (Jl) Upgraded ( ) r' Abandoned( )by ,,,T , n C non .{ Y-1 at a 1 )JOx f In Le D�"� I (A r 17 la no A Ahas been constructed in accordance 1 with the provisions of Title 5cand the for Disposal System Construction Permit No. ;4606 —o-7 % dated., 3 /9-1/1— / Installer � n 1'(�I��yl1 l Designer Dn to)y� C)p Qq 2. 0.5 Y1 P Q..> �C1 c #bedrooms �} �Approved design flow � `� gpd r The issuance of this permit s hpll not b/ construed as a guarantee that the syste►f i IIiI-I fu ctton de igned. Date [� Inspect k� _ -------------------------------------------- No. ��Lgo & --Q- / Fee_1/06) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 'i.5po.5al *p!5temY Construction Permit Permission is hereby granted to Construct ( )�� Re air ( X) Upgrade ( ) Abandon ( ) System located at C �1V,f)n )A hh ,,r t I R\ 1(ll 50g 101_0\ and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construct io must be completed within three years of the dat( of this pe " t: Date 3 t((P Approved,by f 1 V vv 1V Vt'"Dti2�lyJ t r�nl.,c , LOCATION &J A C H U e TT A is: SEWAGE.#o`er. ©(D--•02 VILLAGE AI j/A&AJJS• .,4 0 k'r ASSESSORS MAP &LOT 7r INSTALLER'S NAME&PHONE NO. �y A A C 0 d Al rSEPTIC TANK CAPACITY O LEACHING FACILITY: (type) Y W e L L '5 (size) :NO.OF BEDROOMS BUILDER OR OWNER PERMITDATEs OMPLIANCE DATE:_; Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 1 a A --� 1013 00, r iS � I c ' I ey 7 d © pl FROM :dawn cape enginearing iric FAX NO. :15033623BBa Mar. 24 203S 03:26PM P1 Town of Barnstable Regulatory Services 3W �' Thomas IF.. Geiler,Director " '„„M � Public Health DivisiiOn 'bag' h Thomas McKean, Director r 200 Main Street,Hyattmis, KA 02601 Fax: 5O8-790-6304 Office: 50&862-4644 Installer & Desil_ner Certyf cation Form Date: Zrb fv Sewage Peraaait# A_ bt� Assemor's MapTarcel a� rf'�ACt7M:1�✓ 7``alp"' Designer: Installer: -^ Address: a.f � � Address- � f ' i was issued a permit to install a (date) (Ixtstaller) .septic system at based oil a design drawn by � 4 ���' �•. — — �- (uddress) h.Q - dated 2 (d igDer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation or the distribution box ar&or septic Wk. I certify that the septic system referenced above was installed with major changes (i.e. -^ greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State &Local Regulations. Plan revision or certified.as-built by designer to follow. ARNE OJA (Installers bigilature) CVI No. 30792 o r� 1P51 two <<�4 st ncr's Si natutr / (t1ffix Deli is Stamp Here) RLEASIC RIKTURN ro BARNSTATILF PUBLIC H1rALTH DIVIStUN. CERTTI'I+�'AY .OF COMT'. TANG W19 L N®T Bf' TSSUIl:O UNTIL I3c T11 THIS r012ri7 ANT) AS-911ILT r "D RF,CF 1vLm BY THE UARNSTABLEI THANK ANK YOU. Q:11call.h/septic/resigner Ccrtitication form 3-26-01,doc f Commonwealth of Massachusetts : Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Cr °M 25 Wachussett Ave. - ' ? Property Address Garrard Schaefer Owner Owner's'Name 1 information is Hyannis Port Ma 02647 4/25/17 required for every �ann page. City/Town State Zip Code Date of Inspection �s Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. f Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael DiBuono use the return Name of Inspector key. DiBuono Sewer and Drain rab Company Name 8 Johns path Company Address B S Yarmouth MA 02664 Cityrrown State Zip Code - 508-364-9587 S113522 Telephone Number License Number B. Certification I certify that.I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by t e-I=ocal Approving Authority 4/26/17 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has.a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use . at that time.This inspection does-not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 �oj V } Commonwealth of,Massachusetts W `title 5 Official Inspection Form Subsurface.Sewage Disposal System Form -Not for Voluntary Assessments 25 Wachussett Ave Property Address Garrard Schaefer Owner Owner's Name information is required for every Hyannis Port Ma 02647-, 4/25M 7 page. CityTown State Zip Code Date of Inspection B. Certification (cont) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ' " ® .1 have not found any information which indicates-that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System contains a 1,500 Gallon septic tank a concrete distribution box as well as six dry wells B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion'of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", .no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. ` The septic tank is metal and over 20 years old* or the septic.tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N � ❑ ND (Explain below t5ins•W3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 I ' Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 25 Wachussett Ave _ . Property Address - .- • _ Garrard Schaefer Owner, Owner's Name information is required for every Hyannis Port Ma 02647 4/25/17 _ page. Cityrrown ; State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms riot operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation-of sewage backup or break out or high static water level-in the distribution box due to broken or'obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N- ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below). ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND.(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) further Evaluation is Required by the Board of Health: , ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public-health, safety or the.environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not-functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection. Form Subsurface'Sewage Disposal System Form -'Not for Voluntary Assessments 25 Wachussett Ave _ Property Address Garrard Schaefer. Owner Owner's Name ,. information is required for every Hyannis Port Ma 02647 4/25117 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and.the SAS is_within 10.0 feet of a surface water supply or tributary to a surface water supply. . ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water. supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water. supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: t D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to•each of the following for all inspections: Yes .No r to t. El ® Backup of sewage irito facility.or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters ® due to an.overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or'available volume is less than '/day flow l5ins•3/13 Title 5Ofricial Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form. Not for Voluntary Assessments 25 Wachussett Ave Property Address Garrard Schaefer Owner Owner's Name - information is H annis Port Ma 02647 4/25/17 required for every. Y - - .. page. City/Town State Zip Code Date ofAnspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or ❑' tributary to a surface water supply. ❑ . ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is.within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater.than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified - 3 laboratory, for.fecal coliform bacteria indicates absent-and the presence of ammonia.nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.,A copy of the analysis and chain of custody must be attached to this form.] ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate.either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a.surface.drinking water supply. the system is located in a nitrogen sensitive area (Interim Wellhead Protection ' ❑ ❑ Area—I,WPA) or:a mapped Zone Il.of a public water supply well If.yqu have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat.under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate, . regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments rZy ,•'' 25 Wachussett Ave Property Address Garrard Schaefer. Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/25/17 page. City/Town State Zip Code Date of Inspection C. Checklist' Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for.signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® 0 Were all system components, excluding the SAS, located on site? ® ❑ ' Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ®` Existing information.-For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential-Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 god x#of bedrooms): 440 i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Foram 01 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 25 Wachussett Ave Property.Address r r ys Garrard,Schaefer Owner Owner's Name information is ` required for every Hyannis.Port Ma 02647 4/25/17 . page. City/Town State Zip Code Date of Inspection D. System Informations Description: • Number of current residents: Vacant Does residence have a.garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) , Laundry system inspected? ® Yes ❑, No Seasonal use? ❑ Yes ❑ No Water meter readings, if available last 2 ears usage 178 Gpd 9 ( Y 9 (gpd))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): s Grease trap present? F•, , ,.k . . ❑ Yes ❑ No Industrial waste holding tank present? El Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection. Form m Subsurface Sewage Disposal System Form Not for Voluntary Assessments 25 Wachussett Ave Property Address Garrard Schaefer , Owner Owner's Name - required for every y information is Hyannis Port- Ma. 02647 4/25/17 require page. City/Town State Zip Code Date of Inspection . D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumped 4/25/17 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? - Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system El Single cesspool ❑ Overflow cesspool ❑ Privy ❑' Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ -Tight'tank. Attach a copy of the'DEP approval. ' ~ i' ` ❑ Other(describe): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 25 Wachussett Ave Property Address Garrard Schaefer Owner Owner's Name -` information is H annis Port Ma 02647 4/25/17 required for everyy _ page. City/Town State Zip Code' Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Installed 2006 w. _ _Were sewage odors,detected-when-arriving at the site? ❑ Yes ❑ No ` Building Sewer(locate on site plan): 1.5 Depth below grade: - feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet;. Comments (on condition of joints, venting, evidence of leakage, etc.)*., Septic Tank(locate on site plan): . 1 . Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ,-.- El other(explain) 1,500 f . If tank is metal Iist age .k ., t years Is age confirmed by a Certificate.of-Compliance? (attach a copy of certificate), ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title S Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 25 Wach ussett Ave . Property Address Garrard Schaefer Owner O wner's-Name information is required for every Hyannis Port Ma 02647. 4/25/17. page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Septic Tank (cont.) 24" Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 311 Distance from top of scum to top of outlet tee or baffle 42" Distance from bottom of scum to bottom of outlet tee or baffle . `Sludge stick How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tees are in place . Grease Trap (locate on site plan): ' Depth belowtgrade: feet - Material of construction:' ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: - Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title Z Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 25 Wachussett Ave Property Address - Garrard Schaefer { Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/25/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) ; Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete y, ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: - gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: 0 Yes ❑ No Date of last pumping: Date Comments (condition.of alarm and float switches, etc.): ` *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Lt5i.. Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-=Not for Voluntary Assessments 'r 25 Wachussett Ave Property Address •fir t;r.`. ,, - Garrard.Schaefer Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/25/17 page. City/Town State Zip Code Date'of Inspection D. System Information On Cont. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Level and at normal level Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): 1 Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): *]f pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located,explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 25 Wachussett Ave F s Property Address - Garrard Schaefer Owner Owner's Name information is Hyannis Port Ma 02647 .4/25/17 required for every H_Y ' page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑, . leaching chambers number:• - ® leaching galleries number: 6 dry wells ❑, leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure,level of ponding, damp soil,condition of vegetation, etc.): Clean and dry Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth -top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System. Form -Not for Voluntary Assessments 25 Wachussett Ave- Property Address Garrard Schaefer Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/25/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) " Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): ,r. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids ` Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): f t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 25 Wachussett Ave Property Address Garrard Schaefer Owner Owner's Name information is required for every Hyannis Port Ma ,02647 4/25/17 page. City/Town State Zip Code Date of Inspection D. System Information"(cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts W 'Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 25 Wachussett Ave.;,, Property Address n Garrard Schaefer Owner Owner's Name information is required for every Hyannis Port Ma - 02647 4/25/17 page. CityTTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 10+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date tf . } ' ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked'with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Home sits high above the Ocean near by Before filing this Inspection Report, please see Report Completeness Checklist on next page. l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Assessing As-Built Cards Page 1 of 2 1 U W rr Ur nA1UNa 1 fast!; LOCATION 1 S'W A C HU s'eTT A{ ✓ SEWAGE#X0(D—Q?2` VILLAGE H.Y�411 X1,S• /°_Q_X y' ASSESSOR'S MAP'ar INSTALLER'S NAME&PHONE•N0._T•/ti iyI x•G C Zvi A 4X-:S o N ' SEPTIC TANK CAPACfI'Y , 4-:o 0 LEACHING FACILITY:(type) NO.OF BEDROOMS � BUILDER OR OWNER LUtAlsHia. PERMITDATE: _ C COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom ofLeac�hing Facility . Feet Private Water Supply Well and Leaching Facility (If any wells exist S on site or within 200 feet of leaching facility) Feet ' Edge of Wetland and Leaching Facility(If any wetlands exist t. within 300 feet of leaching facility) Feet Furnished by • Joy a.4 --i I � ' i 1 _ t 11� �'op► 1 r http://www..townoibamstable.us/Assessing/HMdisplay.asp?mappar=28705 8&seq=1 4/24/2017 Commonwealth of Massachusetts Title 5 Official Inspection Form a6 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 25 Wachussett Ave Property Address Garrard Schaefer Owner Owner's Name information is Hyannis Port Ma 02647 4/25/17 required for everyH y - page. City(Town State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary: A, B, C, D, or E checked ❑ Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ❑ System Information—Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. May 19, 2005 Ms. Sarah Ojala Downcape Engineering, Inc. 939 Main Street Route 6A Yarmouthport, MA, 02675 E __._ 251Nachusett Avenue;Hyanrtisport ° " ____ _._._ _ _ A= 7-6-0i Dear Ms. Ojala, You are granted variances on behalf of your client, Michael Winship, to construct an onsite sewage disposal system at 25 Wachusett Avenue Hyannisport, Massachusetts. The following variances are granted: 310 CMR 15.211: The soil absorption system will be located three (3) feet away from the property line, in lieu of the minimum ten (10) feet separation distance required. 310 CMR 15.211: The septic tank will be located five (5) feet away from the property line, in lieu of the minimum ten (10) feet separation distance required. 310 CMR 15.211: The soil absorption system will be located 4 feet away from the foundation wall (crawl space) in lieu of the minimum twenty (20) feet separation distance required. 310 CMR 15.211: The septic tank will be located 8 feet away from the foundation wall (crawl space) in lieu of the minimum ten (10) feet separation distance required. 310 CMR 15.255: Only two feet of impervious materials will be removed surrounding the soil absorption system, in lieu of the five (5) feet minimum impervious material removal required. O,jalawinship 310 CMR 15.104: To allow sieve analysis to be conducted, in lieu of percolation tests required. The variances are granted with the following conditions: (1) No more than four (4) bedrooms maximum are authorized - at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to four (4) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The system shall be installed in strict accordance with the engineered plans dated revised May 11, 2005. (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated May 11, 2005. This parcel is very small, only 3,537 square feet. This permission is granted . because the proposed plan appears to meet the maximum feasible compliance standards. Sincerely yours, Way Miller, M.D. Chairman OjalaWinship COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIROETT�AL FAIRS DEPARTMENT OF ENVINIE.,NTArmptqTECTION SOUTHEAST REGIONAL OFFICE 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-946-2700 DIVISION MITT ROMNEY Governor ELLEN ROY HERZFELDER Secretary KERRY HEA_LE Y ROBERT W.GOLLEDGE jr. =LieutenantSovernor_— , : -- `�- May 31, 2005 Mr. Thomas McKean, Director RE: BARNSTABLE Subsurface Sewage Board of Health Disposal-Proposed Variance to 310 CMR 200 Main Street 15.000 "Title 5 of The State Environmental Hyannis, Massachusetts 02601 Code" for Michael Winship,25 Wachusett Avenue and Transmittal No. W063310 Mr. Michael Winship 140 Green Hills Road Athens, Georgia 30605 Dear Mr.McKean and Mr. Winship: Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.412, the Southeast Regional Office of the Department of Environmental Protection has completed its review of the above referenced application for approval of variances granted by the Barnstable Board of Health. The application contains a copy of the Board of Health's grant of a variance from the following provisions of Title 5, 310 CMR 15.000: .1. 310 CMR 15.104: Percolations Testing 2, 310 CMR 15.255: Construction in Fill As part of the application, the Department received plans consisting of one (1) sheet, titled as follows: TITLE 5 SITE PLAN OF ru t� 25 WACHUSETT AVENUE Cn HYANNIS(PORT)- -M - < 1 This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-aQ 298-2207dV C" DEP on the World Wide Web: http://www.mass.gov/dep -� Za Printed on Recycled Paper bra E27 � r� f \ 2 PREPARED FOR MICHAEL WINSHIP MARCH 3, 2005 REV. 4/20/05 (4 BR) REV. 5111105 (SIEVE VARIANCE) DOWN CAPE ENGINEERING, INC. EVIL ENGINEERS LAND SURVEYORS 939 MAIN ST. YARMOUTHPORT,MA 02675 Based upon its review of the application, and in accordance with 310 CMR 15.410, the Department has determined both of the following: a) The applicant has established that enforcement of 310 CMR 15.104 AND 15.255 would be manifestly unjust, considering all of the relevant facts and circumstances of this case. Site constraints due to lot size and presence of the existing dwelling render strict compliance infeasible. b) The applicant has established that a level of environmental protection that is at least equivalent to that provided under 310 CMR 15.000 can be achieved without strict application of 310 CMR 15.211. The applicant has established equivalent environmental protection as follows: The applicant has maximized the excavation of unsuitable material, and has followed the provisions of the Department's "Title 5 Alternative to Percolation Testing Policy for System Upgrades". The Department, therefore, approves the Board of Health's grant of a variance from 310 CMR 15.211 subject to the following: 1. There is to be no increase in sewage flow to the repaired subsurface sewage disposal system and no increase in square footage to the existing structure served by the sewage disposal system which will result in an increase in flow. This approval limits flow to 440 gallons per day. 2. A Disposal System Construction Permit must be obtained from the Barnstable Board of Health prior to the start of construction. 3. Approval for the proposed system will be dependent upon the recording in the appropriate registry of deeds.of a deed restriction limiting flow to 440 gallons per day and that discloses the existence of a variance and conditions of the variance for the sewage disposal system and the Ir 1 3 involvement of the Department of Environmental Protection in said system. An attested copy of this notice shall be submitted to the Department and the Board of Health prior to the issuance of the Disposal System Construction Permit. This variance determination is an action of the Department. ff the applicant is aggrieved by this determination, s/he may request an Adjudicatory Hearing in accordance with 310 CMR 1.00 and M.GL. C.30A. A; request for _an Adjygigqtqry_ Hearing must be made in writing_ and____;_,.�___a,.__._,_ astmarked within0 days ofthe date of issuance of t indetermination. Parsuant-tr0 CMR 1.01(6), the request must state clearly and concisely the facts that are grounds for the request and the relief sought. The hearing request, along with a valid check payable to Commonwealth of Massachusetts in the amount of one hundred dollars ($100.00), must be mailed to: Commonwealth of Massachusetts Department of Environmental Protection P.O. Box-4062 Boston, MA 02211 The hearing request will be dismissed if the filing fee is not paid, unless the appellant is exempt or granted a waiver, as described below. The filing fee is not required if the appellant is a city or town (or municipal agency), county, or district of the Commonwealth of Massachusetts, or a municipal housing authority. The Department may waive the adjudicatory hearing filing fee for a person who shows that paying the fee will create an undue financial hardship. A person seeking a waiver must file, together with the hearing request as provided above, an affidavit setting forth the facts in support of the claim of undue financial hardship. Should you have any questions regarding this matter, please contact me at (508) 94.6-2753. Very truly yours, Brian A. Dudley Bureau of Resource Protection BAD cc: Sarah Ojala Down Cape Engineering, Inc. 939 Main Street Yarmouth Port, MA 02675 P:\bdudley\wpapp\Bamstable\winship.doc SENDER: COMPLETE THIS SECTION COMPLET E THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also c plet(P M Received,,y tPJ@ dint�leariy� a , ate of Delivery item 4 if Restricted Delivery is desed. , ■ Print your name and address on th v9k� R wC:Sign re ..,•:;.;.; _ �--- so that we can return the card to yo"ai?i ■ Attach this card to the back of the m4p� )5 ;X � or on the front if space permits. V " El Addressee D. I delivery addresoifte ent from item 1? ❑Yes 1. ;i7ddressed to: _ , It If,YES,ent deljA sbelow: ❑ No 0-0 3. SecT Or I �- NJ Certifi ail�YExpr�s Mail O / . _/ n, J ❑ Register' ❑ Retur�Receipt for Merchandise NNNWWW000 O��� ❑ Insured Mail ❑_C:O:D. � 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from se1 7003 2260 0004 5872 2783 I RSL qrm 3811,July 1999 Domestic Return Receipt 102595.00•M-0952 h,,ap �. UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • I firm" II 939 Main St.—Suite C j II Yw Yv1'Wb PaM M 02675, I II • i ...=7 . SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY 11111.Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date'of.Delivery..., item 4 if Restricted.Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. Signatur ■ Attach this card to the.back of the mailpiece, X 67VI jn ❑,Agent or on the front if space permits. ❑Addressee' D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES, p enter delivery address below: ❑ N�o/ �r yqW A-- t7 �G r Uw O-0"�V-x A 3. SServvi e Type L7 Certified Mail ❑Express Mail / ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2 Article Number(copy from servij '? 7 0 0 3 2 2 6 0 0 0 0„41 5 8j,7 2 8,7 6 9 i ! 'l i ;(� „ oaf eturn Receipt 102595-00-M-0952 Iwo � UNITED STATES.POSTAL SERVICE r . M1�`, First-Class Mail Postage&Fees-Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Down Ca pa ErIgmeen'i1g, Inc. � 939 IValn St. -- Suitt C yarMouth Pod, MA 02675 fll111111 11111i1 ll ildolfJilltff111IIHTi111,1t11fillIlilift I rSENDER: , , DELIVERY ■ Complete items 1,2,and 3.Also complete A..R ceive( y(Pleas[Z.t Clearly) B. to o elivery item 4 if Restricted Delivery is desired. � 1- • Me`Y ■ Print your name and address on the reverse C. i ture so that we can return the card to you. ❑Agent ■ Attach this card to the back of the mailpiece, X �C or on the front if space permits. : ❑Addressee D. Is Aver from item 1? ❑Yes 1. Article Addressed to: y 'If YES'e' ter delivery addresrs below: ❑ No S co 3 S�ervi Typed L Ztied I'❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise a.✓�✓`'�/'� / ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Ye 2. Article Number(Copy from service T j 7003 2260 0004 5872 2691 PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952 l� UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No. G-10 I j • Sender: Please print your name, address, and ZIP+4 in this box • Dawn Cape Engineering, Inc, 93Q Nlain St. —Suite C li YwMoUth Pon, WIA 02675 I I I :. i s Yi i i -� i c t�S f i � rz _ k til:��V M _•— SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. R ceived by(Please PrinClearly) B. Date of Delivery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. S n lure ■ Attach this card to the back of the mailpiece, X ❑Agent or on the front if space permits. ❑Addressee D Is elivery ress different from item 1? ❑Yes 1. Article Addressed to: / ES,enter delivery address below: ❑ No S-rvi ;Type Certified Mail ❑ Express Mail J I, ❑ Registered ❑ Return Receipt for Merchandise El� Insured Mail C.O.D. ab 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Cop 7p03 ;,22:60 0004. 5872 2776. e. t PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952 i W(,,.k„p UNITED STATES POSTAL SER\7,qE-,' `._ First-Class Mail Postage&Fees Paid LISPS e Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • I Down Ca pa Engi eenri -g, Inc. ra S2. ---,Suite C Yarmoui 4 Poriq� A 02675 I I �I 4 SHE T DATE: E'EE• + BARNSrABLE + y MASS. a i6gq. `06 REC. BY 9- Town of Barnstable SCHED. D Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FA.l: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,NI.D. VARIANCE REQUEST FORM LOCATION Property Address: AS kmLA.e44,.,«ETT .4J>ENvE Assessor's Map and Parcel Number: YO 4- $ Size of Lot: F Wetlands Within 300 Ft. Yes Business Name: No 7r, Subdivision Name: APPLICANT'S NAME: 14Af A CL I-10-44I4I,P Phone -1 o(- 353 - to 6U, Did the owner of the property authorize you to represent him or her? Yes )L _ No PROPERTY OWNER'S NAME CONTACT PERSON Name: 1 4,60, I M S 41 P Name: 5AV� C1 Address: (412 �1� �• Address: � AE ATttt=i t S, OA 3 a(,o 5 Phone: lof- 3 z 3 t✓33c Phone: o N ED -r. VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) A NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance,request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) ____ Full menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Files\OLK3\VARIREQ.DOC . tel.(508)362-4541 ,939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 (, own cope enggineefilig civil engineers& land surveyors structural design April 26, 2005 Arne H.Ojala P.E., P.L.S. Daniel A.Ojala,P.L.S. land court Thomas McKean, RS, CHO Timothy H.Covell, P.L.S. surveys Director, Barnstable Health Department r 200 Main Street Hyannis, MA 02601 site planning Re: 25 Wachusett Avenue, Hyannisport sewage system designs Dear Tom: inspections Enclosed please find revised plans for the above-referenced site for the continued hearing on May loth. We have also included floor plans which should be more easily read. permits The plans have been revised to show a 4 bedroom-sized system. We have also indicated the additional Title 5 variance necessary, for the reduction in required lateral removal of unsuitable soil. We would appreciate a review of the enclosed prior to the continued hearing on May 10�', as a closing on the property is imminent. We would like to make any additional changes necessary(should there be any) so that the closing may go through. Thank you. Sincerely, Sarah B. Ojala Down Cape Engineering, InTc. cc: Michael Winship - I 12.5 x 14 BR CLOSET LIVING ROOM r 19.5 x 20.5 ENTRY BATH HALL 65 SF STAIRS ROOM BATH STAIRS SCR, PORCH DINING } (NO ACCESS � 10.67' x 13' 13' x 11.5' UNDER) ►- BEDROOM BEDROOM z a CLOSETS BEDROOM KITCHEN 12' x 18' 10.5 x 13.5' BATH UTILITY NT.S tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering structural design March 16, 2005 civil engineers& land surveyors Arne H.Ojala P.E., P.L.S. Daniel A.Ojala, P.L.S. Barnstable Board of Health Timothy H.Covell, RL.s. land court 367 Main Street Surveys Hyannis, MA 02601 site planning Re: 25 Wachusett Avenue, Hyannisport Dear Board Members: sewage system designs The enclosed represents a variance filing for a septic upgrade from an existing one cesspool septic system. The house is in the process of being sold. inspections The following variances are requested under 15.405 ("maximum feasible compliance"): Reduction in setback, leach facility to lot line (10' to 3'); septic permits tank to lot line (10' to 5'); septic tank to foundation(10' to 8'; leach facility to foundation (20' to 4'); and reduction in separation to waterline from septic components. Due to extreme site constrictions (the lot is only 3537 square feet), variances are necessary for this 5 bedroom septic system. The waterline is proposed to be sleeved where within 10' of septic system components. Groundwater is approximately 20' below surface grade (and 14' below the base of the leaching facility), and so is not a sensitive environmental concern. The site is within an Ap district. The house has no cellar (except at the rear"bump-out"). Precautions are proposed such as shoring for the foundation during excavation and/or to install the system via sequencing. We feel that by granting these variances, the same degree of environmental protection can be attained without the need for strict adherence to the Title 5 Regulations. Thank you for your consideration. Ve truly yours Arne H. Ojala, PE, PLS Down Cape Engineering, Inc. cc: M. Winship r Y ,. Vl sie-4 i f i ;a 3PVci cSEth0Vt Lr 90 �Ea�i8L!Est . i C 1 G FL I t I f � l i DOWN CAPE ENGINEERINSC. Q 939 Main Street (Route 6A) YARMOUTH PORT, MASSACHUSETTS 02675 (508)362-4541 Fax(508)362-9880 DATE / J a � im- TO Q /� `(/� // SUBJECT ...................................... .........................../..1/...,..---------.................................... J .......... ..,.,..,.,....,.,....,...,....,................................................................................................................................................. � �-- ........................................ 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Q -.............. - ............ .............1....:.........._a-:................ s�. ....................._ s....... . .......................................................................................................................U...._ - :.................... .......,.......................................................................................................................................................................................... .............................................................................................................................................................................................................................:....................................................................................................................................................................................................................... SIGNED PLEASE REPLY NO REPLY NECESSARY .j tel.(508)362-4541 .939 main street rt 6a yarmouth port '40% �-r BARit ( 0 �3 2 9880 mass 02675 doWo cape engiaeeriag s�`►► civil engineers& land surveyors 2005 MA 12 AM 10: 26 structural design May 12, 2005 Arne H.Ojala P.E., P.L.S. Daniel A.Ojala,P.L.S. land court Thomas McKean, RS, CHO ;!V1a9QN H.Covell, P.L.S. SUfVeys Barnstable Health Dept. 200 Main Street Hyannis, MA 02601 site planning Re: 25 Wachusett Avenue, Hyannisport sewage system rt designs Dear Tom: inspections Enclosed are copies of the revised plan for the'above-referenced site. The Board, at Tuesday night's meeting, had requested that the additional variance of sieve analysis in lieu of percolation testing be added to the'list of variances requested. permits It would be so appreciated if the approval letter could be obtained as soon as you are able to complete it, as a closing on theAproperty is imminent, and I need to forward your approval letter to DEP in order to gain their approval. Thank you in advance for your help on this! . Sincerely, Sarah B. Ojala Down Cape Engineering, Inc. 12.5' x 14' BR CLOSET LIVING ROOM 19.5 x 20.5 ENTRY HALL BATH • 65 SF STAIRS ROOM BATH STAIRS SCR. PORCH DINING (NO ACCESS UNDER) 10.67' x 13' 13' x 11.5' z BEDROOM BEDROOM 0- CLOSETS BEDROOM KITCHEN 12' x 18' 10.5 x 13.5' BATH UTILITY NT.S ------------ M P F-2 0FIL E NOTES � TOP FNDN. AT EL. 32.1' f i , NOT TO savA PROVIDE INSPECTION PORT 1. DATUM IS APPROX. NGVD } ,, ACCESS COVER TO WITHIN 6 OF FIN. GRADE � .. WITHIN 6" OF FINISH GRADE ? ACCESS CWER (WATERTIGHT) TO (MIN. 2) 4 I ' WITHIN V OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING 31.0' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 31.0 ? * _ RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. � 1 - FOR FIRST 2' r F PROPOSED 1'500 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST U ITS TO BE AASHO z jf/ 5 •.' . • } "3 GALLON SEPTIC 2 .g8' H 20 a , 28.21 TANK (H- 10 } GAS 28.0 OLEA S BAFFLE 27.41 5. PIPE JOINTS TO BE MADE WATERTIGHT. WACMUSETT 27.58 © CIDC7 C7C7 � C7 ' MIN o 27.17' 0 CI CI E3 m O Ii C3 m 2 x SLOPE) ! s' cRusH® STONE ac r�ECHANICAI. y 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH ( COMPACTION. 15,221 2]) 6 SUMP 0 © O 0 0 0 MASS. ENVIRONMENTAL CODE TITLE V. Locus DEPTH of FLOW a 4' ( [ 2 C7 CI .lam 0 CI CI C� f� 0 0 25.17 c {RUING Ate• 1 r SLOPE) ( 1 �: sLOPE) 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO TEE SIZES: ( 3/4" TO 1 1/2" DOUBLE WASHED STONE " BE USED FOR LOT LINE STAKING. , S INLET DEPTH t' .n ,� ' } OUTLET DEPTH g 14" 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. 4.37 NOT TO SCALE I FOUNDATION VARIES SEPTIC TANK 38' - D' BOX 26' LEACHING 9. COMPONENTS NOT TO BE BACKFiLLED OR CONCEALED ASSESSORS- MAP 287 PARCEL 58 ' FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND VARIANCES REQUESTED UNDER MAX. FEASIBLE ` EXIST: INVERTS INTO CP =`ELEV. 2s.75' 8c 28.5' PERMISSION 'OBTAINED FROM BOARD OF HEALTH. COMPLIANCE 15.405: BOTTOM TH 1 EL 20.8' � � 1a: REDUCTION IN SETBACK, SAS TO LOT LINE (10' TO *THE INSTALLER ..?-!f?I-t- VERIFY THE CONTRACTOR TO CONFIRM SUITABLE SOILS FOR 5 GROUNDWATER EXPECTED AT ELEV. 5't 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING 3'; SEPTIC TANK TO LOT LINE (10' TO 5' LOCATIONS OF ALL UTILITIES AND ALL BENEATH LEACHING FACILITY PRIOR TO 9b: REDUCTION IN SETBACK, SAS TO CRAtu1.SP. 20' } BUI�INc se�trER auTl.Els AND ELEVATIONs INSTALLATION OF ANY PORTION OF SYSTEM THE LOCATION 9F ALL UNDERGROUND & OVERHEAD UTILITIES ' PRIOR TO INSTALLING ANY PORTION OF TO A:); SEPTIC TANK TO CRAAlSP. (10 TO S) II PRIOR TO COMMENCEMENT OF WORK. SEPTIC SYSTEM 1y: REDUCTION IN SETBACK TO WATERLINE (WILL BE SLEEVED) TITLE V 15.255(5): REDUCTION IN LATERAL REMOVAL # d OF UNSUITABLE SOIL (5ik ' TO 2'); 15.104. TO ALLOW SIEVE ANALYSIS IN LIEU OF PERC ",fl EXIST. WATERLINE u TESTA ,� , , ill TO BE RE-ROUTED � GARBAGE DISPOSER IS NOT ALLOWED II 31.0' PROPOSED SPOT ELEVATION DESIGN FLOW: 4 BEDROOMS @ 110 GPD = 440 GPD 100xO EXISTING SPOT ELEVATION ; J I x I � I� h i ¢ ! USE A 440 GPD DESIGN FLOW { 100 PROPOSED CONTOUR BENCH MARK - TOP OF JJ Q``! a _ t STONE BOUND EL 32.4 SEPTIC TANK: 440 GPD (2) - 880 100 EXISTING CONTOUR l J 1 \ USE A 1500 GAL SEPTIC TANK } t C.O. PROPOSED CLEANOUT ' I 50.91, HEDGE LEACHING: PERIMETER 130 FEET x 2 x 0.74 = 192 GPD „ x I O i` r I BOTTOM RLA 349 SF 0.74 - 253,GPD C1TT M A = -- _ 13 TOTAL: ! Q I 4' � I � 608 S.F. 450 GPD E` 8� 1- 0 E Loeb I /o _ ,J I / / USE (6) 500 GAL LEACHING CHAMBERS (ACRE OR EQUAL) PROPOSED RE-LOCATED WATERLINE . LISA LYONS, RS �� I �! k I MUST BE SLEEVED WHERE WITHIN 10' WITH 2.5' STONE AT ENDS AND 0.75' AT SIDES ENGINEER: ! TH OF SA. D. _DESMARAIS 4 ' WITNESS: I � �I I � � � DATE: 2/24/05 plq i APPROVED DATE BOARD OF HEALTH 10 OAK I VARIABLE REMOVAL OF PERC. RATE _ < 2 MIN/INCH (C2) ! b 11 ( � UNSUITABLE SOIL REQUIRED AROUND SAS DUE TO SITE CONSTRAINTS: 2' AT HOUSE CLASS I SOILS P# ! !( `�I k I k SIDE OF SAS TO 4' MAX. AT 1 I r 0 00 WESTERN EDGE OF SAS, To 3 n :;_ f ELEV. ! I E EXIST. R � E ` F` r / AT NORTHERN EDGE O} SAS To MAX. V AT ENDS OF SAS 0 " 31.8' 1! ' ! f / DOW 1 TO SUITABLE SOIL OF " ) I ! LAYER AS SHOWN. REPLACE p 1 A ! 00.�� /t J • . / 1h7TH CLEAN MED. SAND. 6 T. FNDN. = 32.1' SCR. PORCH s ENGINEER TO INSPECT ANDCONT ? VENUE LS UNSUIT. ! a ttv�naN) ' r (NO ACCESS CERTIFY REMOVAL WM � � � " 1OYR 4/3 ! 5. k UNDER) AVOID DAMAGING MAJOR 12 ! ! ROOTS OF OAK TREE �j/{�}\H 77� B ! R` . HAW �i� WO � C LS UNSUIT. I ! f y PREPARED FOR k " 10YR 4 4 ! II I � � r�- ca 31 / 29.2 I / O '-EXIST. LINE INTO C> SSPOO � '��� °�' � t� ! MUST BE CONNECTED TO z '' ,2 ' ' E ! ! x PROP. SEPTIC TANK • L �• it"" s Cl I ( . 10 OAK (UNKNOt", ORIGIN) UNSUIT. I MA 5 LS/SL I C.O. REV. 4/20/05 4 BR) � i I X / REV. 5/11/05 (SIEVE VARIANCE) .SY 5/4 " 81 25.0 '•. / Q�.` Sy off 508-362-4541 ' / µ fax 508-362-9880 t SIEVE ANALYIS PERFORMED: .2 I ! X xY f' LOT 1 MM TO 1.0 MM MAJORITY (MED MED/COS _ COARSE SAND) ! \ o 3,537t SQ. FT. •�• 8.17 ► ,Nof��a down Cape engineering me. \,ZH of r,�ss. , 2.5Y 6 3 i ! \ �31 x - o� E - .- ARN o � 23.31 CIVIL ENGINEERS H. ARNE I• 132 20.8 0 U OJALA � i NO GROUNDWATER ENCOUNTERED �, r �No,26348 . . t�o. LAND SURVEYORS I ti 939 02675 E m s . u In Y P 1 q _ �� alII aI'Il10 0 DATE OJALA, 05-01 S 0 10 20 FEET :. 05-016WINSHIP_SP2.DWG